CHS Officer Part-I - Central Industrial Security Force

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Name of <strong>Officer</strong> : Period endlng _ Designation : ~=-=.~----~_-_ ..-_-._-_. (ii) PracticaJlClinicall Demonstration (i) Research Projects ( along with name of funding agency): (iv) Paper published with details of authors/titles: __ .~.===-~_-_.- ,~-------
Name of <strong>Officer</strong> : _._--------_._-- Designation : . ._~ _ Station: Date: (i) Indoor (No. of beds and average bed Occupancy); (ill) a.T. (No. ofOT days and average number of surgery performed/assisted) (D) Administrative Work (Please mention briefly involvement in administrative work, if any) Signature of the officer Reported Upon Designation:
Page 1 and 2: No. E-15013/10/MO/2006/CS- Grt To A
Page 3 and 4: Submission of self- appraisal to Re
Page 5 and 6: 6. As per O.M. No. A.28012/15/2009-
Page 7: Name ofOfflCer : Designation :---=-
Page 11 and 12: Nnme ofOfficef : ._ Period ending:
Page 13 and 14: N,me of Officer :~~ __~_~~~~ __ ~~
Page 15 and 16: 1\ame o~Offlcer :--_.- -- -----_._,
Page 17 and 18: Name of Officer = ._. ._ Period end
Page 19 and 20: Name of Officer :~,~~_,~~_. periode
Page 21 and 22: Name of Officer : Period ending: _
Page 23 and 24: Name ofOfficei : -Period ending: --

CHS Officer Part-I - Central Industrial Security Force

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